Plastic surgery is practically a rite of passage in South Korea, where everything from eyelid surgery to chin-shaving is affordable and fair game. In the U.S. it’s a slightly different story, but anyone with deep insecurities and deep pockets can easily go under the knife — or the laser, or the liposuction vacuum — to chase perfection in the mirror. And in recent years, plastic surgery has expanded beyond the traditional nose job or face lift. Here are four of the latest plastic surgery trends:

1. Arms like Michelle Obama
The first lady has put a spotlight on toned triceps, and a new report from the American Society of Plastic Surgeons claims that more and more American women are opting for a strange procedure called an upper arm-lift. In 2012, more than 15,000 patients (98 percent women) spent a mind-blowing $61 million to have the fat from their arms liposuctioned. The Los Angeles Times notes that the procedure — termed a brachioplasty — “involves making an incision from the armpit to the elbow, usually along the back of the arm, to remove excess skin.” In other words, it’s the perfect quick-fix if you’re religiously opposed to dumbbells, cardio, and eating a healthy diet.

2. Artificial limb-lengthening
Who doesn’t dream of being taller? That’s why a few masochists — mostly men — are going to extreme, painful lengths to add two to three precious inches to their frames. The grotesque procedure requires a doctor to break a patient’s shin bone and insert a telescoping rod. The rod pulls the bone apart gradually — about 1 millimeter a day for three months straight. This adds height to the legs while bone, nerves, arteries, and potentially infectious bacteria slowly fill in the gaps. One man, who went from 5 foot 6 inches to 5 foot 9, described the excruciating ordeal as “the worst decision I made in my life.” All yours for $85,000 and at least six months of painful immobility.

3. Chinplants
If buff arms and long legs aren’t your thing, how about a more pronounced jawline? In 2011, the ASPS claimed that the procedure du jour was something called a “chinplant,” the popularity of which skyrocketed by 71 percent from the previous year for reasons science will never quite figure out. For $2,000 to $5,000, surgeons will take a scalpel to your lower lip or chin, and insert an implant into the soft tissue to create a more authoritative jaw. While it probably won’t make you the CEO of a Fortune 500 company, the thinking goes that at least you’ll kind of look like one from your neck to your lower lip.

4. Toe-besity
Summer’s almost here, which means it’s time to dig out the flip-flops. And if you consider your toes fat, ugly, or otherwise imperfect, please don’t be one of the hundreds of Americans who are opting to have their little piggies shaped to a more eye-pleasing standard. The procedure has introduced the plastic-surgery term to end all terms — “toe-besity” — which, let’s be real, might just be the stupidest reason to get plastic surgery, ever. While getting rid of something as uncomfortable as a hammertoe is perfectly understandable, electing to have $2,500 toe surgery purely for vanity’s sake deserves nothing but contempt.

Sometimes mockingly referred to by the press as “The Bride of Wildenstein” (a reference to The Bride of Frankenstein), Jocelyn Wildenstein has allegedly spent almost US$4,000,000 on cosmetic surgery over the years, ending up as one of the worst and most famous cases of plastic surgery addiction.

In the late 1970’s Jocelyn really had it made. She was married to a very wealthy art dealer. Then she caught her husband in bed with a 21 year old Russian model. Now, any normal person would just leave her husband and take all of his money with her, right? Not Jocelyn Wildenstein! Instead she decided to win back her husband’s love and make herself more beautiful by going under the knife. Well, her husband left her anyway, but Jocelyn will always have her plastic surgeon

Hang Mioku, a 48 year-old woman from South Korea, became so addicted to plastic surgery that she was left unrecognizable after her obsession led her to inject cooking oil into her face. She became one of the most famous cases of awful plastic surgery gone wrong.

She had her first plastic surgery procedure when she was 28. Following operation after operation, her face was eventually left enlarged and disfigured, and the surgeons she visited refused to carry out any more work on her and one suggested that her obsession could be a sign of a psychological disorder. Hang resorted to injecting cooking oil into her face. It became so grotesquely large that she was called “standing fan” by children in her neighborhood – due to her large face and small body.

As Hang’s notoriety spread she was featured on Korean TV. Viewers seeing the report took pity on her and sent in enough donations to enable her to have surgery to reduce the size of her face. During the first procedure surgeons removed 60g of foreign substance from Hang’s face and 200g from her neck. After several other surgeries her face was left greatly reduced but still scarred and disfigured, a true challenge for Korean plastic surgery.